Individual
CHANDLER MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3003 S 4TH ST, LEAVENWORTH, KS 66048-5047
(913) 565-2736
Mailing address
18600 E 37TH TER S, INDEPENDENCE, MO 64057-1707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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